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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OMAR FONSECA

Active

OMAR FONSECA is a Occupational Therapist healthcare provider located in WOODSTOCK, Illinois. NPI 1366101420 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · WOODSTOCK, IL

Registration Details

NPI Number
1366101420
Provider Type
Individual
Gender
Male
NPI Issued
Dec 15, 2021 (4.6341072577244 yrs)
Last Updated
Dec 15, 2021
License
160.009394 (IL)

Practice Information

Address
2000 LAKE AVE
WOODSTOCK, IL, 600987401
Browse IL providers · Browse ZIP 60098
Phone
8152063388
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in WOODSTOCK, IL

Name Credential NPI
SARA E SMEDINGHOFF PTA 1427485580
SHANNON GUZICK PTA 1962820746
REBECCA HANOVER PTA 1770093288
MATTHEW R. BANKS PTA 1417456476
MS. DENISE AUGELLI-WASHKO PTA 1831689637
SHANNON KOSMATKA PTA 1497212914
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.